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Please complete the below form to renew your membership with the EMA. If back dues are owed, please check the appropriate boxes for which dues are owed.

For each year dues are owed, you will be charged $350

To pay via check, please contact Tricia Wanamaker at emadirector@gmail.com for details.

"*" indicates required fields

Name*
Address*
Secondary Contact Name*
Dues Owed (by year)*
Please select the year(s) for which you are paying dues. You will be charged $350 per year, along with a 4% service charge based on total dues owed. An itemized receipt will be provided for you via Square. If you owe for an individual year only, please select the appropriate year.
By submitting this application, I consent that the EMA may contact me at the specified address, telephone numbers, fax numbers, email address or other means of communication available. This consent applies to changes in contact information that may be provided by me to the Association(s) in the future. This consent recognizes that certain state and federal laws may place limits on communications that I am waiving to receive all communications as part of my registration. By submitting this online application, I understand that I will receive an invoice via Square with a secure payable link within 48 hours of this form's submission to the primary contact specified.*
MM slash DD slash YYYY

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